Effectiveness of Geriatric Assessment in Predicting Postoperative Morbidity after Laparoscopic Surgery in Older Patients: A Systematic Review

IF 0.3 4区医学 Q4 GERIATRICS & GERONTOLOGY

International Journal of Gerontology Pub Date : 2021-07-01 DOI:10.6890/IJGE.202107_15(3).0001

Kinga Szabat, Przemysław Hałubiec, Małgorzata Wasko, J. Kenig

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引用次数: 1

Abstract

The main aim was to review the results of studies investigating individual domains of geriatric assessment (GA), and GA as a whole, among older patients undergoing laparoscopic surgery. A systematic literature search was performed for papers published between 2009 and 2020. Ten studies were evaluated, including 1940 patients. The ADL or the I-ADL, was used in 90% of studies, followed by the GDS (80%), the MMSE (70%), polypharmacy (70%), the MNA(60%), the CCI (50%), the CIRS (20%), the BOMC score (10%) and the Clock Drawing Test (10%). Only dependency in the functional domain could be recognized as a reliable risk factor for postoperative complications in the majority of the studies. All authors have confirmed the effectiveness of a cumulative GA (OR 3.1-6.0). Cumulative GA is recommended to predict the morbidity of the older patient after laparoscopic surgery. For the individual domains (apart from physical function) the results are too inconsistent to reach any clinical conclusion.

查看原文本刊更多论文

老年评估在预测老年患者腹腔镜术后发病率方面的有效性:一项系统综述

主要目的是回顾在接受腹腔镜手术的老年患者中调查老年评估(GA)个体领域和整体GA的研究结果。对2009年至2020年间发表的论文进行了系统的文献检索。评估了10项研究，包括1940名患者。90%的研究使用了ADL或I-ADL，其次是GDS(80%)、MMSE(70%)、polypharmacy(70%)、MNA(60%)、CCI(50%)、CIRS(20%)、BOMC评分(10%)和Clock Drawing Test(10%)。在大多数研究中，只有功能领域的依赖才能被认为是术后并发症的可靠危险因素。所有作者都证实了累积遗传算法(OR 3.1-6.0)的有效性。累积GA被推荐用于预测老年患者腹腔镜手术后的发病率。对于个别领域(除了身体功能)，结果太不一致，无法得出任何临床结论。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Gerontology 医学-老年医学

CiteScore

0.60

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： The Journal aims to publish original research and review papers on all fields of geriatrics and gerontology, including those dealing with critical care and emergency medicine. The IJGE aims to explore and clarify the medical science and philosophy in all fields of geriatrics and gerontology, including those in the emergency and critical care medicine. The IJGE is determined not only to be a professional journal in gerontology, but also a leading source of information for the developing field of geriatric emergency and critical care medicine. It is a pioneer in Asia. Topics in the IJGE cover the advancement of diagnosis and management in urgent, serious and chronic intractable diseases in later life, preventive medicine, long-term care of disability, ethical issues in the diseased elderly and biochemistry, cell biology, endocrinology, molecular biology, pharmacology, physiology and protein chemistry involving diseases associated with age. We did not limit the territory to only critical or emergency condition inasmuch as chronic diseases are frequently brought about by inappropriate management of acute problems.